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9/0�/11 08 : 43AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg ; <br /> Z ' y ' <br /> , � <br /> �s"�ro'��.. Ci[y ni Orono Fvli C U9E OJVLY <br /> �Q'`�' �d�t P.o,sox s6 9/c� a o i�-a o 9 8 0 <br /> i� � �} x7so Ke1ky Piuscuisv Due Reoeivnd: k�onmil il <br /> ��y ����,:� r� CryWnl T3�Y,MN 53329 <br /> 9� .�r.�^•d� Phoon:(952)2A9-4600 P�c; (952)2A9�4616 Appmv�ed Dy, Amuunk S; <br /> v,„„ ra``�� <br /> CiT�I OF ORONO�LAWN SPRINKLER PERMiT <br /> f�f'.RMIT CODES(fN-Hf)U9E) <br /> Speie�lm/[teudand�J/[�wrt SpILoJcler 1 Blnnk <br /> Bptinklw'/Rooldptt1ol/1�adcDorv Dovioo OnlylBl�nk <br /> Plesse Chc'ek One: �1ew Addi[ivn <br /> Job 5ite Address: 155 Klntyre �ane <br /> ���; Kyle Nunt 8 Pa�tnera 'Telephone NUInbCr; <br /> MailingAddress: 18324 Minnetonka Blvd <br /> City: Daepheven Zjp; 55381 <br /> _ Sprinkldr Coz�t�aator:Sp�lnp Plumbing Telcphonc Number: ��g3)814-7983 <br /> Contact Persoa ; Tneresa Blalon Li�ense#: 66807-PM <br /> Mailing Addcess: 11473 Kenyon Caurt Bleina MN 66448 <br /> WATESFUPPLY <br /> �.�e p w�u p c;�y o <br /> �Ac�F�,ow DEVICE <br /> A�e ❑ � (L PZ <br /> M.�lce ��S Model 3'SX L`1 Year ofManufacture�'�,� Quantiry,�____ <br /> ' era� <br /> � We dld the rouQh-in only oi tne Ilne In the houee wit��aCuum preaker. <br /> HYDRAULI��'�LCULATIONS Design Data: <br /> Area of Application; Sq. Ft. <br /> Coverage per 5prinkler: Sq.Ft. <br /> No. of Sprinkl�rs; <br /> Total Watcr Acquired: GPM <br /> PERMIT FEE GALGULATION <br /> I. Petmit Fee: S 35,90 <br /> 2. State Surcharge S_�1Q <br /> 3, Mai1-In Fee $ 2.00 <br /> �4. TOTAL PERMIT FEE(Add linea 1-3 above) $40,Oa <br /> The undersigned hercby applies to the City of issuancc of a Sprinkler System Permit, agrees to <br /> do a11 work in strict aCcordance with the ordin�nces of the Ciry and State regulations, and <br /> certifies that all s ents made on this ap lioation are complete,true aud correct. <br /> Applicant �.- Date Ill <br /> .......................��.��. � ,...�::...................................................�„�.���.�.....,�� .................................,.......................����.......���.�,...�� <br /> ApprovCd �_ Apprvved with CorrectiQns___ Denied <br /> / <br /> Reviewed By: �%',�-�� .,--t�_ � ��-, ,/�� Date __( � � — ( � <br /> Reae�t Farm <br />